CAJ | 학술논문

目的探讨直肠癌术后并发直肠阴道瘘围手术期全程优质护理的临床效果.方法回顾性分析2009年1月～2011年1月我院收治的14例直肠癌术后并发直肠阴道瘘的患者治疗护理过程.通过围手术期全程优质护理,在术前、术后密切观察病情,监测心肺功能,监控引流管通畅,鼓励患者早期下床活动.通过调查护理前后患者的生活质量评分表(FACT),观察护理的效果.结果 14例患者均治愈.瘘愈合后无复发;护理前生活质量评分(101.43 ±22.45)分与护理后生活质量评分(155.64±32.54)分比较差异显著,有统计学意义(P＜0.05).结论直肠癌术后并发直肠阴道瘘手术后采用正确的饮食护理、会阴部护理、心理护理、术前术后护理等措施,有利于患者生活质量的提高.
목적 탐토직장암술후병발직장음도루위수술기전정우질호리적림상효과.방법 회고성분석2009년1월～2011년1월아원수치적14례직장암술후병발직장음도루적환자치료호리과정.통과위수술기전정우질호리,재술전、술후밀절관찰병정,감측심폐공능,감공인류관통창,고려환자조기하상활동.통과조사호리전후환자적생활질량평분표(FACT),관찰호리적효과.결과 14례환자균치유.루유합후무복발;호리전생활질량평분(101.43 ±22.45)분여호리후생활질량평분(155.64±32.54)분비교차이현저,유통계학의의(P＜0.05).결론 직장암술후병발직장음도루수술후채용정학적음식호리、회음부호리、심리호리、술전술후호리등조시,유리우환자생활질량적제고.
Objective To study after resection of rectal cancer complicated with rectovaginal fistula peri - operation period Full of quality nursing.Methods From January 2009 to January 2011,the therapy course of 14 cases of rectal cancer postoperative complicated with rectovaginal fistula treatment were analyzed.Through the perioperative period full quality care,close observation,monitoring cardiopulmonary function and the drainage tube patency,the patients were encouraged early ambulation.The patients ＇quality of life score sheet (FACT) were investigated.The nursing effect was observed.Results All 14 patients were cured.The fistula healed without recurrence; before nursing quality of life score ( 101.43 ± 22.45 ) with after care quality of life score ( 155.64 ± 32.54 ) were significantly different ( P ＜0.05 ).Conclusions Postoperative rectal cancer patients complicated with rectovaginal fistula after operation with proper diet nursing,perineal nursing,psychological nursing,preoperative and postoperative nursing measures could improve quality of life.